<form action='<?php echo $this->element->getAction(); ?>'
method= '<?php echo $this->element->getMethod(); ?>'>
<p>Your Name:<br />
<?php echo $this->element->name; ?>
</p>
<p>Your Email:<br />
<?php echo $this->element->email; ?>
</p>
<p>Your Gender:<br />
<?php echo $this->element->gender; ?>
</p>
<p>Your Country:<br />
<?php echo $this->element->country; ?>
</p>
<p>Your Note:<br />
<?php echo $this->element->note; ?>
</p>
<p><?php echo $this->element->submit; ?>
</p>
</form>